CCRN Adult CCRN (Adult) - Direct Care Eligibility Pathway Exam Dumps - Free Latest Dumps for IT Certification Exams

CCRN Adult CCRN (Adult) – Direct Care Eligibility Pathway Exam Dumps

dumps2025-03-06T10:46:57+08:00

CCRN Adult CCRN (Adult) – Direct Care Eligibility Pathway exam is easy to study now. There are 125 scored items and 25 unscored items in real CCRN Adult exam, and you have 3 hours to finish the test. The items are based on the AACN Synergy Model for Patient Care, with 80% focusing on Clinical Judgment and 20% focusing on Professional Caring and Ethical Practice. After you complete the test, nurses will receive your results and a score report. We provide the latest CCRN (Adult) – Direct Care Eligibility Pathway CCRN Adult exam dumps, which can ensure you pass the test. Free CCRN (Adult) – Direct Care Eligibility Pathway CCRN Adult exam dumps are available below.

Page 1 of 5

1. A patient with a history of asthma presents with acute onset of dyspnea, a non-productive cough, and tachypnea. He is very anxious, restless, and tachycardic.

Which of the following is a first-line drug for these symptoms?

leukotriene inhibitor

anticholinergic

mast cell stabilizer

beta-agonist

2. A patient is admitted with Gl bleeding. During the assessment, the nurse notes the patient to be tremulous, anxious, and startles every time he is touched by the nurse.

Which of the following is the most pertinent part of the patient's history to obtain?

last alcohol intake

medication history

time of last meal

psychiatric history

3. A patient's IV with norepinephrine (Levophed) infusing is red, swollen, and the IV pump is alarming. A nurse should anticipate

administering phentolamine (Regitine).

providing a warm compress.

lowering the extremity below heart level.

removing the IV immediately.

4. A patient who had a liver resection now has a copious amount of serous drainage from the surgical incision.

Which of the following should a nurse anticipate when caring for this patient?

preparing for an incision and debridement of the wound

applying several abdominal dressings

administering antibiotics

applying a drainage pouch to the site

5. A patient is receiving therapeutic hypothermia post-cardiac arrest.

Which of the following orders should a nurse clarify?

chemistry labs every day

ABGs every 4 hours and with any ventilator changes

hourly intake and output

sequential compression devices

6. The nurse is caring for a patient with neutropenia secondary to chemotherapy.

When communicating dietary needs to the provider, the nurse should request which of the following to improve the patient's immune function?

low protein diet

total parental nutrition

high carbohydrate diet

nutritional supplements

7. Appropriate outcomes for a patient with status asthmaticus include

increased PaCO2 and decreased FEV1.

decreased peak flow rates and decreased wheezing.

paradoxical breathing and increased FEV1.

normal PaCO2 and increased FEV1.

8. Which of the following is a late finding in hypovolemic shock?

tachycardia

UO greater than 30 mL/hr

cool, dry skin

hypotension

9. A patient who is confused and dyspneic is admitted with ABG values that reveal hypoxemi a. Results from insertion of a pulmonary artery catheter are:

PAP 38/18 mm Hg

PAOP 10 mm Hg

CI 3.5 L/min/m2

These values are most indicative of

hypovolemia.

hypervolemia.

pulmonary dysfunction.

left ventricular failure.

10. A patient with end-stage COPD who has failed multiple mechanical ventilation weaning trials communicates a desire to discontinue mechanical ventilation and be extubated.

Which of the following is a nurse's best response?

Advocate with the care team for a withdrawal of treatment plan.

Encourage the patient to continue with current medications and attempts to wean.

Explore the patient's reasons for the request and understanding of potential consequences.

Refer the patient's request to the healthcare facility's ethics committee for review.

Page 2 of 5

11. A patient has gained 8 kg in the past week. Serum sodium is 115 mEq/L, CVP is 20 mm Hg, and serum osmolality is decreased. The patient has just experienced a generalized tonic-clonic seizure.

In this situation, which of the following IV solutions should a nurse be prepared to administer?

3% sodium chloride

0.45% sodium chloride

0.9% sodium chloride

5% dextrose with 0.25% sodium chloride

12. A patient who experienced a blunt chest trauma in an automobile crash is admitted with multiple rib fractures. The patient is dyspneic and hypotensive and is reporting left shoulder pain. On auscultation, a nurse notes that bowel sounds can be heard over the lower left thorax.

These findings are consistent with

ruptured abdominal viscus.

ruptured diaphragm.

flail chest.

mediastinal shift.

13. The goal of PEEP therapy in acute lung injury (ALI) is to

decrease PA

decrease airway resistance.

increase cardiac output.

reduce physiologic shunting.

14. A patient's blood culture report notes the presence of vancomycin resistant enterococcus.

The nurse should place the patient in which type of isolation?

droplet

airborne

contact

protective

15. A nurse has responded to a rapid response call on a medical-surgical floor in the hospital.

The nurse finds the patient with the following data:

BP 72/30

HR 132

RR 24

T 102.3° F (39.0° C) SpO2 95%

Ph 7.13 PaCO2 34 mm Hg

PaO2 88 mm Hg

HCO3 14 mEq/L

Na+ 142 mEq/L

The nurse should anticipate an order to administer which of the following?

8.4% sodium bicarbonate

phenylephrine (Neo-Synephrine)

0.9% sodium chloride

amiodarone (Cordarone)

16. Which of the following is most indicative of successful treatment for salicylate poisoning?

osmotic diuresis

decrease in gastric pH

decrease in CPK

alkalinization of urine

17. A patient is admitted for sepsis secondary to pneumonia. The patient has received 2000 mL of plasmalyte and their BP remains 80/50.

What should the nurse anticipate next for the patient?

dopamine

norepinephrine

1L of plasmalyte

vasopressin

18. A patient with a sodium level of 114 mEq/L is most likely to develop

tetany.

flaccid paralysis.

seizures.

cardiac arrhythmias.

19. A patient with a history of six cardiac catheterizations relates that he has received differing instructions about the duration of required bedrest after the procedure.

To further investigate this issue, which of the following is a nurse's most appropriate action?

Ask about obtaining an independent evaluation of unit outcomes.

Conduct an informal chart review and outcome evaluation of patients treated with different bedrest protocols.

Review recent published research about bedrest protocols.

Ask the nursing supervisor to request standardized physician orders for patients who have undergone catheterization.

20. A patient is 2 days post MI. The patient was stable until this morning, when severe chest discomfort developed.

Assessment reveals:

BP 70/palpable

HR 122

RR 38

PAOP 28 mm Hg, with large V waves

CI 1.6 L/min/m2

Cool, clammy skin

Inspiratory crackles throughout the lung field

Loud blowing holosystolic murmur at the apex

The patient's present clinical status is most likely a result of

papillary muscle rupture.

cardiac tamponade.

acute aortic insufficiency.

ventricular septal defect.

Page 3 of 5

21. Which of the following ECG changes is expected in a patient with a potassium concentration of 3.0 mEq/L?

ST segment depression, flattened and inverted T wave, and a U wave

tall peaked T wave, prolonged PR interval, and prolonged QRS complex

shortened QT interval and complete atrioventricular block

inverted P wave, elevated T wave, and prolonged QT interval

22. A patient admits to a nurse that he has struggled with depression and feelings of isolation and abandonment since moving into a nursing home last year, but he has recently started taking an anti-depressant. The patient states, "Sometimes it takes everything I've got just to go on each day."

Which of the following is the nurse's best initial response?

"You sound like you've been really unhappy. Have you thought about harming yourself?"

"Those feelings should resolve when the medication you've started has a chance to take effect."

"I understand how you feel. We all get that way when we're depressed."

"Have you talked to anyone about what is bothering you?"

23. A nurse should expect which of the following plans of care for a patient with a complicated RV infarction?

dobutamine (Dobutrex), fluid restrictions, and furosemide (Lasix)

nitroprusside (Nipride), fluid restrictions, and transvenous pacing

nitroglycerin, fluid infusions, and morphine

dobutamine (Dobutrex), fluid infusions, and transvenous pacing

24. The intended effects of medications for a patient in acute CHF are to

reduce CVP and increase SV

reduce CVP and reduce SV

increase CVP and reduce SV

increase CVP and increase SV

25. Potentially life-threatening consequences of diabetic ketoacidosis (DKA) include

cellular dehydration.

intracellular hyperglycemia.

metabolic alkalosis.

respiratory alkalosis.

26. Postoperatively, symptoms that may indicate hemothorax or internal bleeding in a video-assisted thoracic surgery (VATS) patient include

diminished breath sounds.

pain with deep inspiration.

bradycardia.

hypertension.

27. A patient who is post repair of an abdominal aortic aneurysm should be monitored for which of the following complications?

acute renal failure

acute hepatic dysfunction

acute CVA

atrial fibrillation

28. A patient with hypertension received tPA for an acute embolic stroke with complete resolution of symptoms. Twenty-four hours after tPA administration, the nurse should anticipate an order for

diuretics.

beta blockers.

antiplatelet agents.

calcium channel blockers.

29. A 22-year-old trauma patient sustained multiple fractures after a fall. The patient fell 50 feet from a cliff while rock climbing without a harness. The patient is intubated and sedated with casts to bilateral lower extremities. The nurse should recognize that young adults are

more likely to engage in risk-taking behaviors.

developmentally vulnerable to peer pressure in extreme sports.

working through trust issues that cause them to test limits.

influenced by long-time intervals spent in virtual reality.

30. In septic shock, a mixed venous O2 saturation (SO2) of 84% indicates that

O2 delivery to tissues is inadequate due to shunting.

the mixed venous pO2 is low.

venous pO2 and saturation are irrelevant to tissue perfusion.

the tissue cells are being well oxygenated.

Page 4 of 5

31. A patient with a history of COPD is admitted with increasing dyspnea and fatigue. O2 is initiated via nasal cannula at 4 L/min with an O2 saturation of 99%. One hour later, the patient becomes lethargic.

Which of the following is the most likely cause for the change in the patient's mental status?

O2 toxicity

absorption atelectasis

depressed hypoxic drive

decreased end-tidal CO2

32. A patient is admitted following a motor vehicle crash. A fluid challenge is initiated immediately after assessing a BP of 80/palpable.

Fifteen minutes later, vital signs are as follows:

BP 86/50

HR 150

RR 36

The most appropriate action should be to

administer a vasopressor.

administer a second fluid challenge.

request a CT scan of the chest.

request an abdominal ultrasound.

33. A patient presents with the following hemodynamics:

MAP 40 mm Hg

PAD 6 mm Hg

PAOP 5 mm Hg

CI 1.8 L/min/m2

SVR 875 dynes/sec/cm-5

Which of the following is essential in the plan of care?

loop diuretic

fluid resuscitation

vasopressors

whole blood

34. Which of the following is a sign of splenic injury and diaphragmatic irritation?

tachypnea

flank pain

left shoulder pain

hiccoughs

35. A patient presents with fever and chills, is diaphoretic, and reports experiencing abdominal and intermittent left shoulder pain for the past week. An ultrasound shows an enlarged spleen. Vital signs are:

When reviewing the lab report, which of the following findings is most significant to this presentation?

positive blood cultures

PLT 150,000/mm3

WBC less than 500/mm3

Hct 39%

36. An unconscious patient in hepatic failure secondary to alcoholism becomes acutely hypoglycemic. Glucagon administration is contraindicated for this patient because glucagon

interferes with lactulose (Cephulac) therapy.

produces additional sedative effects.

is ineffective when hepatocytes are damaged.

causes rebound hyperglycemia.

37. An older adult patient is admitted with acute exacerbation of congestive heart failure. An echocardiogram indicates that EF is unchanged at 50%. The patient is most likely experiencing

heart failure with reduced E

heart failure with preserved E

left ventricular failure.

advanced heart failure.

38. A patient is recovering from CABG surgery. On postoperative day 3, the patient's laboratory values indicate thrombocytopenia and elevated liver function tests. The patient is scheduled for hemodialysis today. A nurse notifies the physician of the abnormal laboratory values. The nurse should next anticipate an order to

administer heparin to prevent clot formation.

complete hemodialysis without heparin.

transfuse platelets during hemodialysis.

reschedule hemodialysis.

39. A patient is admitted with a traumatic brain injury after being thrown from a horse. Despite numerous interventions, the patient is declared brain dead.

The parents have consented for organ donation, and the patient's mother requests to lay next to her daughter before being taken to the operating room.

Which of the following is the nurse's most appropriate response?

"I will need a few minutes to prepare and organize this for you."

"It would be too risky to move all of the machines and wires."

"We must obtain permission from the organ donation team first."

"Please sit at the side of the bed, hold her hand, and talk to her."

40. The family member of a patient who is receiving mechanical ventilation is to be taught suctioning. When developing a teaching plan, the nurse should first

obtain written information about the procedure.

determine a schedule for demonstrating the technique.

identify the areas in which the family member needs information and skills.

encourage the family member to observe the procedure on other patients.

Page 5 of 5

41. A patient who was admitted after an open aortofemoral bypass for claudication at rest has a hemoglobin A1C of 8.9. The patient admits having poor control of blood glucose levels and is scared to use insulin as directed because of a few episodes of hypoglycemia.

Which of the following should the nurse initially request to be consulted?

endocrinology

diabetes educator

hospital pharmacist

vascular surgeon

42. A patient with history of hypothyroidism is admitted with severe confusion and nonpitting edema. The nurse should anticipate which order?

insulin drip

3% saline 150 mL/hour

diuretics

forced air warming blanket

43. Which of the following signs is most frequently associated with meningitis?

positive Trousseau's

positive Cullen's

positive Kernig's

positive Babinski's

44. A patient with a left ventricular assist device has been hospitalized for 5 days. A nurse notes anasarca and skin breakdown over multiple pressure points.

When addressing the patient's nutritional needs, which of the following should the nurse consider?

Edema may mask physical signs of protein calorie malnutrition.

Initial signs may include low hemoglobin and hematocrit.

Parenteral administration of amino acids is the first-line treatment.

Lipids are needed for the utilization of protein calorie replacements.

45. Which of the following is a sign of brain death?

positive vestibulo-ocular reflex

negative apnea test

positive cough reflex

negative cold caloric test

CCRN Adult CCRN (Adult) – Direct Care Eligibility Pathway Exam Dumps

CCRN Adult CCRN (Adult) – Direct Care Eligibility Pathway Exam Dumps

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